Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $46.77	Facility		$40.74	$40.74	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $40.74 / $48.98	Professional		$38.90	$40.74	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $66.07 / $223.87	Facility		$40.74	$66.07	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $46.77	Professional		$37.15	$37.15	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $35.48 / $41.69	Professional		$33.11	$35.48	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $83.18 / $117.49	Facility		$42.66	$83.18	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $41.69 / $42.66	Professional		$39.81	$41.69	$42.66